Active NPI
Virginia M Collins, LCSW
- Clinical Social Worker
- Aurora, IL
National Provider Identifier
1477751865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.003161
- Practice address
- 1237 Candlewood CT
Aurora, IL 60502-7000 - Phone
- (630) 615-8991
- Fax
- (630) 801-5616
- NPI assigned
- Jul 6, 2007
- Last updated
- Jan 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.003161 | IL | Primary |
Addresses
Primary practice location
1237 Candlewood CT
Aurora, IL 60502-7000
Mailing address
1237 Candlewood Court
Aurora, IL 60502-7000
Phone (630) 615-8991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 581092000 | Other | IL | MAGELLAN USER NAME |
Other names 1
- Virginia Collins
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.003161 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irving and Associates in Behavioral Health PC | Current | Accepting new patients | |
| Amer & Associates SC | Past | Accepting new patients |
Locations
5151 Mochel Dr
Ste 307
Downers Grove, IL 60515
Phone (630) 963-5390
5201 Washington St
Ste 2
Downers Grove, IL 60515
Phone (630) 241-5689
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counseling Psychologist
- Downers Grove, IL
- NPI 1861772428
-
- Psychiatry Physician
- Bloomingdale, IL
- NPI 1366507071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1477751865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 CANDLEWOOD COURT",
"city": "AURORA",
"state": "IL",
"postal_code": "605027000",
"telephone_number": "630-615-8991",
"fax_number": "630-801-5616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 CANDLEWOOD CT",
"city": "AURORA",
"state": "IL",
"postal_code": "605027000",
"telephone_number": "630-615-8991",
"fax_number": "630-801-5616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "VIRGINIA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.003161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN USER NAME",
"identifier": "581092000",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VIRGINIA",
"last_name": "COLLINS",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.